Totally Stapled Proximal Gastrectomy - For giant gastric GIST

59 year old male got admitted in our department with history of hematemesis and melena for 2 weeks. He also presented with difficulty in breathing, bilateral pedal edema and anemia. He was on Anti-retroviral treatment for the past 6yrs. Examination of the abdomen revealed mass in the epigastrium. CT scan Abdomen showed an 8X8cm lesion in the fundus and body of stomach suggestive of GISTlymphoma.On endoscopy, there was a bleeding polypoidal growth in the fundus and biopsy from the lesion was suggestive of GIST. Intra operatively, there was a large exophytic growth from the fundus of the stomach obscuring GE junction of stomach. A totally stapled proximal gastrectomy was done. The occurrence of this tumor in an HIVpositive patient is coincidental. This case is presented for different stapling technique for performing proximal gastrectomy.This stapler technique can prevent frequent crossover of needles during surgery and may prevent health hazard to healthcare workers